BETH SHELLY PHYSICAL THERAPY LLC
NPI 1962973073
Clinic/Center - Physical Therapy in Moline, IL

Active since December 16, 2018
1634 AVENUE OF THE CITIES, MOLINE, IL 61265(563) 940-2481 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beth Shelly Physical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETH SHELLY PHYSICAL THERAPY LLC (NPI 1962973073) is a healthcare organization registered as a physical therapy in Moline, Illinois and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Davenport and lists Beth R Shelly, Pt, Owner, as its authorized official.

NPPES Registry Identity

NPI1962973073
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBETH SHELLY PHYSICAL THERAPY LLC
Location Address1634 AVENUE OF THE CITIESMoline, IL 61265-4860
Mailing Address1634 Avenue Of The CitiesMoline, IL 61265-4860 · (563) 940-2481
Organization SubpartNo
Authorized OfficialBeth R ShellyPt, Owner · (563) 940-2481
Enumeration DateDecember 16, 2018
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1962973073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1634 AVENUE OF THE CITIES, Moline, IL 61265

Secondary Practice Location 1

Location 13319 Spring St Ste 202Davenport, IA 52807-2125 · Phone (563) 940-2481

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Shelly Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beth Shelly Physical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1588624514
1634 AVENUE OF THE CITIES SUITE C
Moline, IL 61265
(563) 940-2481
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Shelly Physical Therapy LLC's NPI number?

The NPI number for Beth Shelly Physical Therapy LLC is 1962973073. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Beth Shelly Physical Therapy LLC located?

Beth Shelly Physical Therapy LLC is located at 1634 Avenue Of The Cities, Moline, IL 61265. The listed phone number is (563) 940-2481.

What is Beth Shelly Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Beth Shelly Physical Therapy LLC enrolled in Medicare?

Yes. Beth Shelly Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beth Shelly Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Beth Shelly Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beth Shelly Physical Therapy LLC was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.